Active NPI
Richard a Raabe DPM Inc
- Primary Podiatric Medicine Podiatrist
- Canton, OH
National Provider Identifier
1982850525
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Podiatric Medicine Podiatrist
- License
- 1714
- Legal business name
- RICHARD A RAABE DPM INC
- Practice address
- 128 Wertz Ave NW Ste a
Canton, OH 44708 - Phone
- (330) 477-6265
- Fax
- (330) 477-6306
- NPI assigned
- Aug 14, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Richard Raabe, D.P.M.
- Title
- Owner
- Phone
- (330) 477-6265
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Podiatric Medicine Podiatrist | 213EP1101X | 1714 | OH | Primary |
Addresses
Primary practice location
128 Wertz Ave NW Ste a
Canton, OH 44708
Mailing address
128 Wertz Ave NW Ste a
Canton, OH 44708-4196
Phone (330) 477-6265
Other practice location 1
3906 Tuscarawas St W
Canton, OH 44708-5549
Phone (330) 477-6265
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0281716 | Medicaid | OH | |
| 0785960001 | Other | OH | PTAN |
National Provider Directory
National Provider DirectoryLocations
3906 Tuscarawas St W
Canton, OH 44708
Phone (330) 477-6265
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1218672000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1530230400000",
"number": "1982850525",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "128 WERTZ AVE NW STE A",
"city": "CANTON",
"state": "OH",
"postal_code": "447084196",
"telephone_number": "330-477-6265",
"fax_number": "330-477-6306"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "128 WERTZ AVE NW STE A",
"city": "CANTON",
"state": "OH",
"postal_code": "44708",
"telephone_number": "330-477-6265",
"fax_number": "330-477-6306"
}
],
"practiceLocations": [
{
"address_1": "3906 Tuscarawas St W",
"address_purpose": "LOCATION",
"city": "Canton",
"state": "OH",
"postal_code": "447085549",
"country_code": "US",
"telephone_number": "330-477-6265",
"fax_number": "330-477-6306",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "RICHARD A RAABE DPM INC",
"organizational_subpart": "NO",
"enumeration_date": "2008-08-14",
"last_updated": "2018-06-29",
"status": "A",
"authorized_official_last_name": "RAABE",
"authorized_official_first_name": "RICHARD",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "330-477-6265",
"authorized_official_credential": "D.P.M."
},
"taxonomies": [
{
"code": "213EP1101X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Primary Podiatric Medicine",
"state": "OH",
"license": "1714",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0281716",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTAN",
"identifier": "0785960001",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Canton, OH
- Sydney Jane Rice, FNP
- Teree T Rice, CNP
- Rich Health and Wellness Inc
- Michael A Rich, M.D.
- Richard a George PHD Inc
- Richard D Watkins Canton Community Clinic Inc
- Richard D Watkins Canton Community Clinic Inc.
- Richard D Watkins Canton Community Clinic, Inc
- Richard D Watkins Canton Community Clinic, Inc.
- Brandon Andrew Richards
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.